Falcon Heights Rehabilitation And Nursing Llc
FALCON HEIGHTS REHABILITATION AND NURSING LLC in COLORADO SPRINGS, CO — inspection on July 31, 2024.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
According to the July 2024 computerized physician
cerebral infarction, bipolar disorder, post-traumatic stress disorder and ataxia (neurological disorder causing lack of coordination and tremors).
The 7/16/24 minimum data set (MDS) assessment revealed the resident was cognitively intact with a brief interview for mental status (BIMS) score of 15 out of 15.
The assessment indicated Resident #35 needed set-up assistance for eating and substantial assistance for personal hygiene and dressing.
B.
Resident observations
On 7/29/24 at 5:48 p.m. a medication cup containing three medication capsules was observed on Resident #35's overbed table.
The resident was sitting in her wheelchair at the table waiting for her supper.
On 7/31/24 at 8:31 a.m. a medication cup containing three medication capsules was observed on Resident #35's overbed table.
The resident said it was her Creon (a medication used to treat insufficient pancreas function) and the night nurse left it for her to take with breakfast. Resident #35 was observed taking the medications without assistance.
C.
Resident interviews
Resident #35 was interviewed on 7/29/24 at 2:44 p.m.
She said she burned her fingers while smoking about a month ago (June 2024). Resident #35 said when she burned her fingers she was smoking a cigarette and was unsupervised.
Resident #35 was interviewed again on 7/31/24 10:52 a.m. Resident #35 said the nurses brought her Creon medication and left it on her table because she wanted it right when her meal came and the nurse was usually in the dining room at that time.
She said sometimes she could take it herself and sometimes the nurse had to come back and help her due to her tremors. Resident #35 said usually stayed in her room until she took the medication.
She said if she left her room before she took the medications, her roommate watched the pills for her.
D.
Record review
The July 2024 CPO included a physician's order, dated 4/2/24, to give Resident #35's Creon to keep at bedside with meals so the resident could take the medication after the first bites of food.
-The order was discontinued on 7/29/24, during the survey.
-A review of Resident #35's electronic medical record (EMR) did not reveal a self-administration assessment was completed for the resident to self-administer the Creon, nor was it indicated on the resident's comprehensive care plan.
065168
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 065168 B.
Wing 07/31/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Falcon Heights Rehabilitation and Nursing LLC 1795 Monterey Rd Colorado Springs, CO 80910